NPIMap

Organization Active NPI

Star Dental Institute Inc

  • Dental Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1881255107
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STAR DENTAL INSTITUTE INC
Practice address
2620 Tenderfoot Hill St Ste 210
Colorado Springs, CO 80906-8356
Phone
(719) 597-7979
NPI assigned
Jun 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gary Moore, DDS
Title
Dentist
Phone
(719) 597-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2620 Tenderfoot Hill St Ste 210
Colorado Springs, CO 80906-8356

Mailing address

2620 Tenderfoot Hill St Ste 210
Colorado Springs, CO 80906-8356
Phone (719) 597-7979

Other practice location 1

600 S 21st St Unit 120
Colorado Springs, CO 80904-3763
Phone (719) 387-5612

National Provider Directory

National Provider Directory

Locations

600 S 21st St
Unit 120
Colorado Springs, CO 80904
Phone (719) 266-9000

2620 Tenderfoot Hill St
Ste 210
Colorado Springs, CO 80906
Phone (719) 597-7979

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1881255107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 TENDERFOOT HILL ST STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068356",
            "telephone_number": "719-597-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 TENDERFOOT HILL ST STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068356",
            "telephone_number": "719-597-7979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S 21st St Unit 120",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809043763",
            "country_code": "US",
            "telephone_number": "719-387-5612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAR DENTAL INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "719-597-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.